The URL can be used to link to this page

Home My WebLink About221 Juniper Ln - BuildingPREPARED 3/16/11 8 14 36 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/11 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR THANG HUNG LY CONTRACTOR SUNSHINE PROPANE PHONE (360) 683 4010 OWNER THANG HUNG LY PHONE (360) 460 7865 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 10 00001024 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 3/16/11 LL MECHANICAL FINAL TIME 01 00 March 15 2011 10 33 09 AM 1pangrle SAM 461 3463 (I CALLED HIM TO FINAL THIS PERMIT MECHANICAL FINAL GAS FIREPLACE TANK SET AFTERNOON PAT B APPROVED THE GAS LINE INSPECTION ON 02 02 08 ON PERMIT #07 1294 FOR THE NEW SFR COMMENTS AND NOTES Permit t 6 16 29 Date I phoned thg�Applicant OYl LOU at Go-- Property Owner at Contractor at I (left a phone message or discussed) The permit (has expired, or will expire soon) What is the status of this project? Please call and schedule a final inspection Or Submit a "permit extension request' letter Or Let me know if the project is abandoned c, -ti. 1 4(90- 7s(35 ,R-- ®,-v L0- 4 ciAt ►M (vim a I ),i-0/04.eit at c FA%vA ti` 1�e ate_ i ,A ec gym �c.,a Ate- a L. .t- I tic 0, a Ar-70 5 -15 -t T.Fonns /Building Division/Project Status Update PROJECT STATUS UPDATE CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001024 Application pin number 014400 Property Address 221 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0050 0000 Tenant nbr name THANG HUNG LY Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc PROPANE TANK SET FOR A GAS FIREPLACE Owner THANG HUNG LY 312 W 3RD ST PORT ANGELES (360) 460 7865 Permit Fee Total Plan Check Total Grand Total T:Forms/Building Division/Building Permit WA 98362 Permit MECHANICAL PERMIT Additional desc PROPANE TANK SET Permit pin number 173419 Permit Fee 50 00 Issue Date 9/15/10 Expiration Date 3/14/11 Qty Unit Charge Per Fee summary Charged 50 00 00 50 00 Pr1 Zt ame /gnat RS9 RESDNTL SINGLE FAMILY 400 BASE FEE Contractor SUNSHINE PROPANE 10853 RHODY DR PORT HADLOCK (360) 683 4010 Plan Check Fee 00 Valuation 0 Paid Credited 50 00 00 00 00 50 00 00 9h aaD S 64161/ S\Lua Dae Date 9/15/10 WA 98339 Due Extension 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 6/14( 3 _A Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Biggs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T /Building Division /Building Permit Inspection Type Comments FINAL Date Accepted by FINAL Date 3 6 rAccepted by 3 LI- FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By ow Court a+n5 Kun,5 I-Y)s\2- W S± P A t3Pr 9 g BUILDING PERMIT APPLICATION Print in ink Applicant La). Property Owner 11 1 Phone Property Owner's Address s r a�(-t- 4 Gor- 'r 3UP.- Contractor 5utty_92( Phone top yaa Contractor's Address j OW5g, D' 1A9,-- 11n L G 1 License J Expires E -mail PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amou t of im and other impervious surfa CITY OF PORT ANGELES 1_0e3 Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 b pi (360) 417 -4815 fax (360) 417 -4711 c 0�.4 2-1 U Phone For City Use Only Date Received t 0-10 Permit 10 1024 Date Approved Lot Zoning 3G,0 LI 6G- 7805 criotion. Residential Multi- family Commercial Industrial XAMY.. S>° (TiS h P 6-, r la (1) (see c+ 0 -i2, y lor N ew SCR acts (t ne fireo ce �0. gs I; tin so eGt -ior\ was do er, o7.- Zb -D53 of pro ve.' bW Pte a) Hou`te o garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existingsp. ft.) Proposed (sq. ft.) N i sq ft. rvious surface on a par (see PAMC 17 94 135 for of size I including s e -mptions) Max. height of proposed st •ct res ft. Occupan. group Will a lawn sprinkler sys m be i stalled? Occup t for d Will a fire sprinkler sy -m be ins :fled? Co truction t pe TOTAL VALUATION 4nD(rerilWx t r� J sq ft. Lot coverage ctures, paved driveways sidewalks patios Site coverage per sq ft. of bedrooms of full baths of half baths I have read and co .leted this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date IdaJ0 Print Name 'F1'\ (IDA Signature S(c' `4 1) T Forms /Building Division /Building permit application A O herd bt P.r c o owner) Clallam County Assessor Treasurer Property Details 68316 THANG HUNG LY for Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 68316 THANG HUNG LY for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area: Open Space Historic Property Multi Family Redevelopment: N Township. Range Location Address. Neighborhood. Neighborhood CD Owner Name. Mailing Address: Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 2009 Statement ID 50039 50039 50039 50039 50039 50039 50039 50039 50039 50039 683162008 683162008 683162008 683162008 683162008 683162008 683162008 68316 Legal Description JUNIPER COURT V15 P27 LOT 5 0630157800500000 Real 0010 N N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property' 221 JUNIPER LN PORT ANGELES WA 98362 Cycle 4 Res 10952130 THANG HUNG LY 312 WEST 3RD PORT ANGELES WA 98362 Taxes and Assessment Due Property Tax Information as of 09/15/2010 Amount Due if Paid on. M. Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY STORMWATER CITY STORMWATER WEED CONTROL WEED CONTROL 2010 50039 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 Agent Code. Section Mapsco Map ID Owner ID Ownership Exemptions. First Half Base Due $278.78 $148 36 $20 85 $343 50 $361 10 $43 11 $60 86 DIST $19 36 $36 00 $0 82 $1312.74 $291 10 $147 33 $20 87 $323.14 $360 00 $42.81 $60 42 11 N N 2 194670 100 0000000000% Second Half Base Due Penalty Interest Base $278 78 $0 00 $0 00 $27 $148 35 $0 00 $0 00 $14 $20 85 $0 00 $0 00 $2 $343 49 $0 00 $0 00 $34 $361 10 $0 00 $0 00 $3€ $43 11 $0 00 $0 00 $4 $60 86 $0 00 $0 00 $E $19 37 $0 00 $0 00 $1 $36 00 $0 00 $0 00 $C $0 81 $0 00 $0 00 9 $1312.72 $0.00 $0.00 $131 $291 10 $0 00 $0 00 $5E $147 31 $0 00 $0 00 $2E $20 87 $0 00 $0 00 $4 $323 13 $0 00 $0 00 $64 $359 99 $0 00 $0 00 $71 $42 80 $0 00 $0 00 $E $60 42 $0 00 $0 00 $12 http. /vpn.clallam.net.8084 /propertyaccess/Property aspx ?cid =0 &year= 2010 &prop_id =68 9/15/2010 (9/9/2009) Linda Pangrle Final fire sprinkler inspection approval at 221 Juniper Lane #08-220 Pa e 1 'j From UndaPangde To Ken Dubuc Date: 9/9/2009 3 14 PM Subject: Final fire sprinkler inspection approval at 221 Juniper Lane #08-220 Hi Ken, When did you do your final fineinspection approval at the above location? 1 look forward to your reply Thanks, Linda PREPARED 8/25/09 10 03 47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/09 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION PHONE (360) 460 9686 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS AFTERNOON March 19 2008 4 34 11 PM pbarthol PW99 01 6/22/09 RV PUBLIC WORKS FINAL 6/22/09 AP BL99 01 8/21/09 JLL BLDG FINAL TIME 01 00 8/21/09 DA August 20 2009 8 15 30 AM 1pangrle TOM 460 9686 BLDG FINAL THE KEY IS ON THE METER AFTERNOON August 21 2009 4 50 26 PM jlierly BL99 02 8/25/09 L BLDG FINAL TIME 01 00 August 25 2009 10 00 36 AM 1pangrle PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/20/08 PB MECHANICAL GAS LINE 2/21/08 AP February 20 2008 8 29 59 AM 1pangrle SHAWN 808 1078 GAS LINE February 21 2008 8 01 08 AM pbarthol ME1 01 3/11/08 JLL MECHANICAL ROUGH IN 3/11/08 AP March 11 2008 8 34 51 AM 1pangrle SHAWN 808 1078 MECHANICAL ROUGH IN March 11 2008 3 19 18 PM jlierly ME99 01 8/21/09 JLL MECHANICAL FINAL TIME 01 00 8/21/09 DA August 20 2009 8 16 41 AM 1pangrle TOM 460 9686 MECHANICAL FINAL THE KEY IS ON THE METER AFTERNOON August 21 2009 4 50 26 PM jlierly ME99 02 8/25/09 MECHANICAL FINAL TIME 01 00 August 25 2009 10 01 22 AM 1pangrle JIM L MECHANICAL FINAL AFTERNOON PL6 01 12/18/07 JLL 12/18/07 AP JIM L BLDG FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLUMBING WATER SUPPLY TIME 01 00 December 17 2007 8 52 11 AM 1pangrle CONTINUED ONTO NEXT PAGE PREPARED 8/25/09 10 03 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/09 ADDRESS 221 JUNIPER LN TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION OWNER GLENN TERRA INC PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 02 1/22/08 JLL PLUMBING WATER SUPPLY 1/22/08 AP GARY 477 1862 January 22 2008 4 29 05 PM jlierly PL2 01 2/20/08 PB PLUMBING ROUGH IN 2/21/08 AP February 20 2008 8 29 07 AM 1pangrle SHAWN 808 1078 ROUGH IN PLUMBING February 21 2008 8 01 08 AM pbarthol PL99 01 8/21/09 JLL PLUMBING FINAL TIME 01 00 8/21/09 DA August 20 2009 8 17 14 AM 1pangrle TOM 460 9686 PLUMBING FINAL THE KEY IS ON THE METER AFTERNOON August 21 2009 4 50 26 PM jlierly PL99 02 8/25/09 PLUMBING FINAL TIME 01 00 August 25 2009 10 02 32 AM 1pangrle JIM L PLUMBING FINAL AFTERNOON JOHN 477 8190 WATER SUPPLY LINE AFTERNOON SUBDIV COMMENTS AND NOTES PHONE (360) 460 9686 PHONE (360) 565 0100 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Z2f Job Located at `N. J t..; c ki Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction AC2_C l�L! --F-t r IKPae v 9 ∎4- .D.,De,L\ s icon CPAQ 1 G (Q 51c J 14,.) 03-L14- c/ Nlj 0126k o (3 s me/ ski -s'oo ?oS+ 541 2 s These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call for inspection Date 0 S LG Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 8/21/09 8 21 01 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/21/09 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION PHONE (360) 460 9686 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS AFTERNOON March 19 2008 4 34 11 PM pbarthol PW99 01 6/22/09 RV PUBLIC WORKS FINAL 6/22/09 AP BL99 01 8/21/09 (,L BLDG tINAL TIME O1 00 August 20 2009 8 15 30 AM 1pangrle TOM 460 9686 BLDG FINAL THE KEY IS ON THE METER AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/20/08 PB MECHANICAL GAS LINE 2/21/08 AP February 20 2008 8 29 59 AM 1pangrle SHAWN 808 1078 GAS LINE February 21 2008 8 01 08 AM pbarthol ME1 01 3/11/08 JLL MECHANICAL ROUGH IN 3/11/08 AP March 1 2008 8 34 51 AM 1pangrle SHAWN 808 1078 MECHANICAL ROUGH IN March 11 2008 3 19 18 PM jlierly ME99 01 8/21/09 MECHANICAL 2I TIME 01 00 August st 20 0 2009 09 1pangrle 16 41 AM 1pangrle TOM 460 9686 MECHANICAL FINAL THE KEY IS ON THE METER AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 12/18/07 JLL PLUMBING WATER SUPPLY TIME 01 00 12/18/07 AP December 17 2007 8 52 11 AM 1pangrle JOHN 477 8190 WATER SUPPLY LINE AFTERNOON PL6 02 1/22/08 JLL PLUMBING WATER SUPPLY 1/22/08 AP GARY 477 1862 January 22 2008 4 29 05 PM jlierly PL2 01 2/20/08 PB PLUMBING ROUGH IN 2/21/08 AP February 20 2008 8 29 07 AM 1pangrle SHAWN 808 1078 ROUGH IN PLUMBING February 21 2008 8 01 08 AM pbarthol PL99 01 8/21/09 JLL PLUMBING FINAL TIME 01 00 CONTINUED ONTO NEXT PAGE PREPARED 8/21/09 8 21 01 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/21/09 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION PHONE (360) 460 9686 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR REQUESTED TYP /SQ COMPLETED INSP RESULT DESCRIPTION RESULTS /COMMENTS August 20 2009 8 17 14 AM 1pangrle TOM 460 9686 PLUMBING FINAL THE KEY IS ON THE METER AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New home replace expired permit Owner Greywolf Const 342 Sunnyside SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98382 152181 168 75 8/21/09 2/17/10 Charged Paid 168 75 00 168 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000856 880048 221 JUNIPER LN 06 30 15 7 8 0050 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 168 75 00 168 75 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 ELECTRICAL NEW RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 86 2500 ECH EL R SQFT FIRST 1300 3 00 27 5000 ECH EL R SQFT ADDITIONAL 500 Credited 00 00 00 Date 8/21/09 WA 98362 DATE RESULTS 00 0 Extension 86 25 82 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 1 OCT 9 -2005 08 09A FROM ELECTRIC SERVICE City el o PaA Mph, Power Apportion =I Imo A st Stral •PaA oa 1150 Poe! Mesh Wplln ipR Ph: rimpar- FEE 01114774711 Date I'. (2 M OO+tidy or CaemntaP Commordol Addtion 1 Altai* on /RawrideUUAN Jo .M BOW Plan Inlbnndlat Gr Mang Sore Raw I Dasilstion et Owner tl OMI NOn G j f 4_ 1 am A aig fa_ Ntmna CI Phone; License 01E E. ROMER 111975 120510 129125 f 200 60750 230 t 7150 18625 1116.25 Et7� t 6300 1 76.00 3 5000 9 91 75 50.00 3 86.25 27.50 t51.So 1 86.25 5 4175 c r o w n de mi spiCNlILILa asto0 Recopy es Mein kr tow porn a0' alaebbftafelOeMdYeve eNi NynN►a►Imr" now boa an d llaareas�re�,1 Away au* ll taw e. .+w.l.w r 11 aor doilattr etwllnaeald11`. ritslt .lLEC,111,1.11hutio1$3 1AIUy ItyseMeNgen E ardrittlidoilNONIN Lines To* ttilv MINoliad byLMNtf s Se1MICNFls& sefttoreedy I .6 S.NadFeader t Sensor F�.d� 1 sw/g ridr i limb Case V`. MidiCtnri 1 EOM Tow SAW 1 Trop Tamp 1 law Pp6dtrPrW 1 INNIt9roid Sod Crew NOM amid t Minna dedY c 1 �,arrtre 300 1„_ Z -ara Eidt Each T TY m 16& I 452 no AUG y 2009 1I. jR1CAL II, $P�h,110NS I VED TO 4174711 L CE: c t eAe .tea Q Stiltai `3 3,3 bS_t.Q �TS� 13")*• POO Amp. Mt swop Vela Ctnail 100 Amp. 201.400 Amp. 401400 API). 0014008 An1a Eegy Cmmlrelll I Enemy 1s Forty D d Energy errii►WIN Conriallai elm -WA %gent a OstatostOane ar NotT* WNW peel b *Mist p161ara ee6upat Y. w IbMad Meltrlewi ansoslr. I po raft the dubbd N>plar MOIL na CIO of A An d oMwdelaat &7 1 f .t-C2dt- P 1'1 0 cd Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T stat to replace 08 312 Owner Greywolf Construction 342 N Sunnyside SEQUIM WA 98382 Permit Additional desc Permit pin number 149625 Permit Fee 43 75 Issue Date 7/06/09 Expiration Date 1/02/10 Qty Unit Charge Per 1 00 43 7500 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL HEATPUMP 43 75 00 43 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000664 403592 221 JUNIPER LN 06 30 15 7 8 0050 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor EL LVT THERMOSTAT ABSOLUTE AIR INC 2820 E HI WAY 101 PORT ANGELES PORT ANGELES (360) 452 8444 43 75 00 43 75 Plan Check Fee Valuation Paid Credited 00 00 00 Date 7/06/09 WA 98362 DATE RESULTS Re24 (PP/ aP if,►,twrp 0 0 0 Extension 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. y2 City of Port Angelo Montt Application SWIM% Dirlainailattlaid Ieep,Qiene 321 ti> stR* $West —P.O. Sox 1180 Part Angetee Washington, >11a3 Ph: tom) 417.73& Fax i'a6o) 417.4711 1 2 Single Family Owing awnF miry ar Cammerdar Commercial Addition 1 AiteratIon 1 Remodel 1 Repeir" Mao &Mew low As Required, Please Compieder Fleur Review Information eel Job /Wroee; 2 Z.1 4C� Sam Square Footage: l Deedfpton of above t 1 til d It j r- S Name: in don Name; Making Address: Cnr Phone License 6! Etpa. n8 93.75 $113,75 recap 12/1 ,25 5 .2.000 57.50 7 2,50 5 66,26 $116.25 $134.26 76.00 09,00 7540 $50.00 $60.00 27.60 8825 6 43.75 Floc RECEIVED JUL 2 2009 5 5 5 ;B 5 .5 s .5 .5 5 $f% /.1 Total ELECTRICAL INSPECTIONS implied tor Unit Cbradi ServlcelFeeder200 Amp. a vioeFeeder201.400 Amp. SenAaetFeeder 461.600 Amp. Service/Feeder 001-1000 Amp. Ser+rleelreeder mer 1000 Mnp. Branch Ckarlt W( eta Feeder Brand► Cbadt Mw0 Santfce Feeler Each Addt ones tea, °bout Tem Service/ Feeder 2fi0 Amp. Temp. SeesileesFaetlsr 201 400 Amp. Temp. Setvioer'fceder401.840 M11), Temp. S e oelFreader601- 0U00Amp, Pedal idPorte) Hourly 3IONOulIn9 tJVV Signal CircueB'/ Limited Energy ConmaUrael Signal Circuit/ Limited Energy -1 2 Fen* Dwelling Signed C l i o Untold Emily htultiramily Dwelling Menuledured Home Connection Renewable &driest Energy 6KVA System or Less Flint 1300 840662 FL Each AMMO 500 6quare Ft. or Portion of Each 4uttereang cr Winched Geese Eedr 8win ing Pool or Hot'Tub Thermostat Ownern, deened try RCIV.1&36.211: (1) Owner *IN occupy 04 structure for two yews mar esle Wiwi*er.parfait is Meant (t) Owner is rewired to Aka on aeon'tkal 004trealorlt above sold Aupitt s fermi* rent orO A Afar mailing) abowa st tamatt, t hareby.cartly that I math* owner du* nbove named p or a 100e6 e{ectriept contractor. ism matuop ttre e e tdcal Ingragetioh or alteration In wmpltance with the electrical Taws, U.C. RCW. Chapter 1928, WAC. Cha ptar21e.450, The dry of Port Anq.loa Mufti* .Coda, end Oak 8pevtltoatlant. D can p erwc►t 4 /--/q- 0 7 R "t ec-F (A1 f LL 13 2 21 217 Z13 aQ ct u .v p 14" /GrAP7 6 /1 5Teva f»c /o tti, 4- I rvn/$J Nssh vi Tex 140 s o RE (rwotF ivisrev• r Ad wL i e2. ECI 1 VED' APR 1 4 2009 OITY OF FORT ANGELES BUILDING DIVISION II� 30Qhn PREPARED 3/19/08 12 02 36 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/19/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLEW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 12/18/07 AP December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BL1 02 1/08/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 1 /08 /08 AP January 7 2008 3 18 42 PM 1pangrle WILSON 670 8062 FOUNDATION MORNING DSD 02 1/22/08 JLL BLDG DOWN SPOUT DRAINS 1/22/08 AP January 22 2008 8 11 25 AM pbarthol GARY 477 1862 January 22 2008 4 29 05 PM jlierly BL9 01 1/23/08 JLL BLDG SHEARWALL 1/23/08 AP January 23 2008 8 30 56 AM pbarthol SHAWN 808 1078 January 23 2008 3 04 12 PM jlierly BAIR 01 3/11/08 JLL BLDG AIR SEAL 3/11/08 AP March 11 2008 8 34 03 AM 1pangrle SHAWN 808 1078 AIRSEAL March 11 2008 3 19 18 PM jlierly BL3 01 3/11/08 JLL BLDG FRAMING 3/11/08 AP March 11 2008 8 33 03 AM 1pangrle SHAWN 808 1078 FRAMING March 11 2008 3 19 18 PM jlierly BLI 01 3/13/08 JLL BLDG INSULATION 3/13/08 AP March 12 2008 1 10 42 PM 1pangrle SHAWN 808 1078 INSULATION JIM I CHECKED IN HTE AND SAW THAT PAT INSPECTED AND APPROVED THE GAS LINE ON 02 20 08 (SHAWN ASKED ME TO TELL YOU THAT March 13 2008 4 17 22 PM jlierly 3/d9/08 JLI,\ BLDG DRYWELL TIME 01 00 March 19 2008 9 08 23 AM 1pangrle GREG 477 1862 DRW 01 DRYWELL CONTINUED ONTO NEXT PAGE PREPARED 3/13/08 9 20 06 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/13/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLEW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 12/18/07 AP December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BL1 02 1/08/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/08/08 AP January 7 2008 3 18 42 PM 1pangrle WILSON 670 8062 FOUNDATION MORNING DSD 02 1/22/08 JLL BLDG DOWN SPOUT DRAINS 1/22/08 AP January 22 2008 8 11 25 AM pbarthol GARY 477 1862 January 22 2008 4 29 05 PM jlierly BL9 01 1/23/08 JLL BLDG SHEARWALL 1/23/08 AP January 23 2008 8 30 56 AM pbarthol SHAWN 808 1078 January 23 2008 3 04 12 PM jlierly BAIR 01 3/11/08 JLL BLDG AIR SEAL 3/11/08 AP March 11 2008 8 34 03 AM 1pangrle SHAWN 808 1078 AIRSEAL March 11 2008 3 19 18 PM jlierly BL3 01 3/11/08 JLL BLDG FRAMING 3/11/08 AP March 11 2008 8 33 03 AM 1pangrle SHAWN 808 1078 FRAMING March 11 2008 3 19 18 PM jlierly BLI O1 3/13/08I� BLDG INSULATION March 12 2008 1 10 42 PM 1pangrle SHAWN 808 1078 INSULATION JIM I CHECKED IN HTE AND SAW THAT PAT INSPECTED AND APPROVED THE GAS LINE ON 02 20 08 (SHAWN ASKED ME TO TELL YOU THAT COMMENTS AND NOTES PREPARED 3/11/08 10 19 40 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/11/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLFW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 12/18/07 AP December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BL1 02 1/08/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/08/08 AP January 7 2008 3 18 42 PM 1pangrle WILSON 670 8062 FOUNDATION MORNING DSD 02 1/22/08 JLL BLDG DOWN SPOUT DRAINS 1/22/08 AP January 22 2008 8 11 25 AM pbarthol GARY 477 1862 January 22 2008 4 29 05 PM jlierly BL9 01 1/23/08 JLL BLDG SHEARWALL 1/23/08 AP January 23 2008 8 30 56 AM pbarthol SHAWN 808 1078 January 23 2008 3 04 12 PM jlierly BAIR 01 3/11/08 J L BLDG AIR SEAL March 11 2008 8 34 03 AM 1pangrle SHAWN 808 1078 AIRSEAL BL3 01 3/11/08 JT/=, BLDG FRAMING March 11 2008 8 33 03 AM 1pangrle SHAWN 808 1078 FRAMING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/20/08 PB 2/21/08 AP ME1 01 3/11/08 MECHANICAL GAS LINE February 20 2008 8 29 59 AM 1pangrle SHAWN 808 1078 GAS LINE February 21 2008 8 01 08 AM pbarthol MECHANICAL ROUGH IN March 11 2008 8 34 51 AM 1pangrle SHAWN 808 1078 MECHANICAL ROUGH IN COMMENTS AND NOTES Application Number 08 00000312 Application pin number 028016 Property Address 221 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0050 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor TERRA GLENN 221 JUNIPER LN PORT ANGELES Permit Fee Total Plan Check Total Grand Total WA 983620338 35 00 00 35 00 OWNER Permit ELECTRICAL NEW RESIDENTIAL KJ Additional desc ABSOLUTE/ T STAT 1 Permit pin number 122556 Iv Permit Fee 35 00 Plan Check Fee 00 Issue Date 3/11/08 Valuation 0 Expiration Date 9/07/08 Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT Fee summary Charged Paid Credited Due 35 00 00 35 00 00 00 00 Date 3/11/08 Extension 35 00 00 00 00 it I1� SPECTION TYPE DATE DITCH SERVICE, ROUGH IN FINAL COMMENTS: 3/0/01 PE4rVi zs-o ELECTRICAL RESULTS INSPECTOR Job wired by O Electrical Contractor Owner Electrical contractor name License number Date Expires �1t 1�1L (k1Q._t(■( 'EC.p(MA OLAt ct`1ONN Purchaser's mailin address Cit Telephone number l) Premises owner's name C- Ifn n Tr.rro\ Address of inspection 21 1onis rr La e c11 *1-(Y\\f, Phone number to schedule inspection: 3+60 Owner as defined by RCW 19.28.26!•(1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications. (Signature o t owne lectrical contractor or electrical administrator X ��KJ Date: 3 y -Dg Electr 0dd041s and or subtractlono O NO LOAD CHANU'ES O Baseboard KW 21 Furnace jt, KW 0 Overhead Service O Heat Pump Ton LAR Temp Service O Fan -Wall KW Underground Service Inspection Date Date FINAL State ZIP �1 FAX number number ?t) LE52 `if4�1+� Approved By Date Approved By Date finstallation description Commercial 01 Residential Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION CI New Icy) O Credit Caro Card Expiration Date of card SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT Date Approved By J r DTPCA Approved By Cash O Check l Altered/Addition exmo s r� Visa Mastercard Discover Date C Inspection fee Service infonntatlon Voltage Phase 1 O 3 Service Size: Feeder Size: SERVICE Action Taken Date Approved By FEEDER Approved By Electrical Inspector ELECTRICAL INSPECTION WIRING REPORT. 417 -4735 DAT ECT PERMIT INSP z.LlbA 07 -1 sz� OWNERtONTRACTOR -7,5.-)2..1 I iLr ADDRESS 2 NlPi J APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: _7 OTZ fA Pc RE_ l ikc' LA 7 1 1- TJ rL AV .A c1 L y C ,)14 tT'l`v 1E f7 137 rz- R-F__.Tz 4-, #Q, Irk S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL FIRE SPRINKLER SYSTEM Owner GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 565 0100 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Fee summary Charged Permit Fee Total 50 00 Plan Check Total 00 Grand Total 50 00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5` Street, Port Angeles, WA 98362 08 00000220 937280 221 JUNIPER LN 06 30 15 7 8 0050 0000 GLENN TERRA INC FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2669 FIRE SPRINKLER RESID INSTALL FIRE SPRINKLER SYSTEM 121418 50 00 2/26/08 Valuation 8/24/08 BASE FEE Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360) 452 7583 INSTALL FIRE SPRINKLER SYSTEM Plan Check Fee Paid Credited 50 00 00 00 00 50 00 00 Date 2/26/08 WA 98362 Due 0 0 0 Extension 50 00. 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and exammal this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the'rrovisions of any state or local law regulating the work specified in the permit. ti fi j j 2/ e9 Signature of Contractor or.Authc4zed Agent Ddte Signature of Owner (if Owner is builder) Date 0 FIRE PERMIT INSPECTION RECORD cP 8) Call 360- 417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover insulate or conceal any work before inspected and accepted. Post penult in a conspicuous location. GENERAL COMMENTS KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection /pressure test Tank (container) inspection Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Comments Completed by Contractor. Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated 2/15/00 psi psi c1 F Type of System. Open Additional Comments 111 Fire Department City Permit 08 -220 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review Project Name Private Residence Address 221 Juniper Lane Installer• Innovated Fire Sprinkler Installer Telephone 452 7583 13 Date 2.25.2008 PAFD Permit 08 -06 13R❑ 13D® We have checked this plan and find that it conforms to the requirements of the code All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Contractor Reviewed by A/ QC _lacL. Building Department Date 2 25 200$ Applicant or Agent ii A v.0 R/"" Phone (-LS 2 73 <97jr Owner Or;eti C_, Phone Owner's Address r a E eJ -z-, Contractor /En k m v oL,// 7 7) F 1 2E k Phone -j' 2 S Contractor /Engineer's Address a/ ,'j -J L Pav License //v/ ,'0V,6S ei /'/O 14. Expires a PROJECT ADDRESS Parcel Number Proiect Type Brief Description. Check all that apply <New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 j'l'►�� 1 A-. k wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood- burning stove gas fireplace pellet stove other Existinq (sq. ft.) Proposed (sq ft.) Total footprint of structures sq ft. Lot size 2- 2- �vt vt Lot S Zoning Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to he true and correct I understand that it is my responsibility to determine what permits are required projects p Date 24/4 Print Name V In e..c /JQ -Q.- Signatur Forms /Building Divisior' Idg Permit AppL -2006 Code doc For City Use Only Date Received Z-2-L O Permit OR- 2-26 Date Approved i?esidential Commercial Multi- family Industrial I ,S TQ_�it� per sq ft. TOTAL VALUATION 2- GG 9. 0 sq ft. Lot coverage of bedrooms of full baths of half baths am authorized to apply for this permit and and to obtain permits prior tto f working on PREPARED 2/20/08 10 23 30 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/20/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/20/08 JLL MECHANICAL GAS LINE •2�J� February 20 2008 8 29 59 AM 1pangrle SHAWN 808 1078 GAS LINE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 12/18/07 JLL PLUMBING WATER SUPPLY TIME 01 00 12/18/07 AP December 17 2007 8 52 11 AM 1pangrle JOHN 477 8190 WATER SUPPLY LINE AFTERNOON PL6 02 1/22/08 JLL PLUMBING WATER SUPPLY 1/22/08 AP GARY 477 1862 January 22 2008 4 29 05 PM jlierly PL2 01 2/2,0/08 J L PLUMBING ROUGH IN 2/ 2/7 February 20 2008 8 29 07 AM 1pangrle SHAWN 808 1078 ROUGH IN PLUMBING COMMENTS AND NOTES w deg,, o 507P ("9/A6,-s) /ENOVIC 1& ASSOCIATES INCORPORATED February 4 2008 Mr Jim Lierly City of Port Angeles Department of Community Development t 321 East Fifth Street Port Angeles, WA 98362 SUBJECT Single Family Residence Located at 221 Juniper Lane, Port Angeles, Washington Dear Mr Lierly This office performed special inspection of the epoxy anchor installations on the home noted above. The epoxy anchors were installed for additional holdowns required by the engineering due to the pony walls installed These additional holdowns were installed on the east and north sides of the home Based on the inspection the installation was in conformance with the requirements of the revised engineering and `Simpson the manufacturer of the epoxy For your information the embedment depth of the 5/8' threaded rod was 10 inches with Simpson Acrylic -Tie epoxy Please call me if you have any further questions on this matter Sincerely Tracy Gudgel P E. Fc: JN 08025 Cc: Glen Terra Inc. CIVIL ENGINEERING LAND SURVEYING 301 East 6th Street, Suite 1 Port Angeles,Washmgton 98362 (360) 417 -0501 Fax (360) 417 -0514 E -mail: zenovic @olympus.net 5 1 PREPARED 1/23/08 9 32 49 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/23/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL 12/05/07 AP BLFW 01 12/12/07 JLL 12/12/07 AP DSD 01 12/18/07 JLL 12/18/07 AP BL1 02 1/08/08 JLL 1/08/08 AP DSD 02 1/22/08 JLL 1/22/08 AP BL9 01 1/23/08 BLDG FOUNDATION FOOTING TIME 09 00 December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLDG FOUND FTG /STEM WALL TIME 09 00 December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING BLDG DOWN SPOUT DRAINS TIME 01 00 December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BLDG FOUNDATION FOOTING TIME 09 00 January 7 2008 3 18 42 PM 1pangrle WILSON 670 8062 FOUNDATION MORNING BLDG DOWN SPOUT DRAINS January 22 2008 8 11 25 AM pbarthol GARY 477 1862 January 22 2008 4 29 05 PM jlierly BLDG SHEARWALL January 23 2008 8 30 56 AM pbarthol SHAWN 808 1078 COMMENTS AND NOTES PREPARED 1/22/08 11 02 49 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/22/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLFW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 12/18/07 AP December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BL1 02 1/08/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/08/08 AP January 7 2008 3 18 42 PM 1pangrle WILSON 670 8062 FOUNDATION MORNING DSD 02 1/22/08 j L BLDG DOWN SPOUT DRAINS January 22 2008 8 11 25 AM pbarthol GARY 477 1862 PL6 01 12/18/07 JLL 12/18/07 AP PL6 02 1/22/08 PERMIT PL 00 PLUMBING •ERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLUMBING WATER SUPPLY TIME 01 00 December 17 2007 8 52 11 AM 1pangrle JOHN 477 8190 WATER SUPPLY LINE AFTERNOON PLUMBING WATER SUPPLY GARY 477 1862 COMMENTS AND NOTES PREPARED 1/08/08 10 37 21 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/08/08 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLFW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 12/18/07 AP December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN AFTERNOON BL1 02 1/08/08 L BLDG FOUNDATION FOOTING TIME 09 00 January 7 2008 3 18 42 PM 1pangrle t WILSON 670 8062 FOUNDATION MORNING COMMENTS AND NOTES Application Number 07 00001524 Date 12/27/07 Application pin number 149892 Property Address 221 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0050 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor MORRISON DAN PO BOX 3051 PORT ANGELES WA 983620338 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Fee summary Charged Paid Credited Due WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 118091 Sub Contractor ELECTRIC SERVICE Permit Fee 135 00 Plan Check Fee 00 Issue Date 12/27/07 Valuation 0 Expiration Date 6/24/08 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 3 00 22 0000 5C EL R SQFT ADDITIONAL 500 66 00 Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Grand Total 135 00 135 00 00 00 N INSPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH -III FINAL pi 2_7 lo 7 tA Tiqr) z alas °14AP T ■I r• ;s it( scr's address 2 r) Installation description wired by C Faectrical Contractor Owner U Commercial 116 Residential cal conlntctur name License nutnher [IA Expires U Altered/Addition Se C A fl. jxNt.. ELFCW, n24 n. one number t,,f (AX number e t (47 :L► %es nw er'' name Lt vt e Cr ess of inSl1c'ctlon Z0 d number lu,xth dui Ins ect'lon. as defined h)' NG W 19.23.261•(11 Owner will nr•eup the sIr for 11.0 c'r this do erica! permit is final Led (2) 0,. ncr• is r •yuir•r'd m haw un 414 friccrl clOr if above said properly OP,' sale rent or lease. ailing the above sta(erent. 1 hereby certify Ih;tt 1 am the owner oI' the ahnvl propcny or It licensed electrical contractor I am slaking the electrical instal or alteration in compliance with the cicctricnl lbws- N E.0 RCW Chapter WAC (Chapter 296 -4,B, The City of fort Angeles Municipal Code and Specifications. lure of owner, elcctHcsl contractor or electrical administrator 1- 219_ 7 LOAD CHANGES cboard KW ace ).12KW 1 Pump Ton LAR Wall KW E DAY INSPECTION, C ALL BEFORE 7.00 .AM 360- 417 -4735 Speclion Date i —0 l ROU(.�11 -IN 2 [Lek app d llv FOAL naie Appr& .d Ay I C_EiVED E 7 2007 State /.1 W A b� ons Date 02TbbL2 J Overhead Service U Temp Service lit Underground Service lI�F:R�IOS{Af Arca, Iluilding or cutuipmcnt luspeatcd 13, O C h 1 1 EC.TRICAL'WORK PERMITAPPL Curd H Expiration fate f card JlprDwed ._O a rvl, Se_, r 7-7- S Q Cash Li Check O Credit Card V K Ma: rL:►1 D Disco c i Inspection ree s 135° Voltago 12 1_, Phase 1 3 Service Size: Feeder Size: SI RV'ICE 'pr cd llv Pall! A ppruNeJ Ay FEEDER Data A ''ed Dy Action Takeo AfQ 2Zt,8L2L /ZL8Z2 2 kits 6T 0T LO— LZ -33t a PREPARED 12/18/07 9 07 51 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/18/07 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLDG FOUND FTG /STEM WALL TIME 09 00 December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/18/07 ILL BLDG DOWN SPOUT DRAINS TIME 01 00 December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 BLFW 01 12/12/07 JLL 12/12/07 AP GUTTER DRAIN AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 12/18/07 JLQ PLUMBING WATER SUPPLY TIME 01 00 December 17 2007 8 52 11 AM 1pangrle JOHN 477 8190 WATER SUPPLY LINE AFTERNOON COMMENTS AND NOTES PREPARED 12/17/07 10 21 50 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/17/07 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLFW 01 12/12/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 12/12/07 AP December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING DSD 01 12/17/07 SPVBLDG DOWN SPOUT DRAINS TIME 01 00 December 17 2007 8 50 26 AM 1pangrle JOHN 477 8190 GUTTER DRAIN PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 12/17/07 PLUMBING WATER SUPPLY TIME 01 00 19P— December 17 2007 8 52 11 AM 1pangrle JOHN 477 8190 WATER SUPPLY LINE AFTERNOON COMMENTS AND NOTES cr k\o--/c) PREPARED 12/12/07 9 07 55 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/12/07 ADDRESS 221 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 12/05/07 AP December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING BLFW 01 12/12/07 j BLDG FOUND FTG /STEM WALL TIME 09 00 December 11 2007 4 50 32 PM 1pangrle TOMMY 477 0778 FOUNDATION MORNING COMMENTS AND NOTES PREPARED 12/04/07 8 36 38 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/04/07 ADDRESS 221 JUNIPER LN TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC OWNER GLENN TERRA INC PARCEL 06 30 15 7 8 0050 0000 APPL NUMBER 07 00001294 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/04/07 SUBDIV BLDG FOUNDATION FOOTING TIME 09 00 December 3 2007 4 50 41 PM 1pangrle TOMMY 477 0778 FOOTING MORNING COMMENTS AND NOTES PHONE (360) 565 0100 PHONE (360) 565 0100 Application Number 07 00001294 Date 11/28/07 Application pin number 037348 Property Address 221 JUNIPER Lk ASSESSOR PARCEL NUMBER 06 30 15 7 8 0050 0000 Tenant nbr name GLENN TERRA INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 149545 Owner T•\Policies \1102.15R [1 /05] Qty Unit Charge Per Qty Unit Charge Per Signature of Contractor or Authorized Agent BASE FEE BASE FEE CITY OF PORT ANGELES. PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor GLENN TERRA INC GLENN TERRA INC 136 E 8TH ST #223 136 E 8TH ST #223 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 565 0100 (360) 565 0100 Structure Information 000 000 1 779 SF SFR 600 SF ATT /GAR, 112 PORCH Other struct info TOTAL LOT COVERAGE 20 00 CONSTRUCTION• TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 115691 Permit Fee 170 00 Plan Check Fee 00 Issue Date 11/28/07 Valuation 0 Expiration Date 5/26/08 Qty Unit Charge Per 1 00 120 0000 EA SAN SEWER HOOKUP V B T Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be 1 00 12700 00 2491 00 2491 00 1 00 Extension 170 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 115618 Permit Fee 230 00 Plan Check Fee 00 Issue Date 11/28/07 Valuation. 149545 Expiration Date 5/26/08 Extension 230 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 115626 Permit Fee 120 00 Plan Check Fee 00 Issue Date 11/28/07 Valuation 149545 Expiration Date 5/26/08 Extension 120 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that .l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not esume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of strut ion. G Date .Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,- INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R [1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING 3 Application Number Application pin number Special Notes and Comments of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) November .6 2007 4 31 38 PM sroberds The proposal will result in a new sfr in the RS 9 for total lot coverage of 20% No land use issues anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection' by Building Department is required prior to backfill Sanitary sewer connection inspection•is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required.,prior to pouring concrete Other Fees Fee summary T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES. PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001294 037348 Page 2 Date 11/28/07 SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE, 4 .50. PW WATER SYSTEM' USE FE 1230 00 Charged Paid Credited Due Permit Fee Total 520 00 520 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 2754 50 2754 50 00 '00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid'publid improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if co_ nstruction or work is suspended or abandoned for a period of 180`�d after the work as commenced or if required inspections have not been requested within 180 days from. the last inspection. I hereby certify that) have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typeof work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate' or cancel the provisions of any state or local law regulating construction or the performance of Construction. Signature of Contractor or Authorized,Agent‘ Date Signature of Owner (if mimesis builder): Date;. CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \1102.15R 1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING l l a'- Date Application Number 07 00001294 Application pin number 037348 Property Address 221 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0050 0000 Tenant nbr name GLENN TERRA INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 50 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 MECHANICAL PERMIT PLUMBING PERMIT 116046 163 00 11/28/07 5/26/08 T.Forms /Building Division/Building Permit (10 /01 /07).wpd RS9 RESDNTL SINGLE FAMILY 149545 Contractor GLENN TERRA, INC GLENN TERRA, C 136 E 8TH ST #223 136 E 8 ST #223 J PORT ANGELES WA 98362 PORT GELES WA 98362 3't 2. t4 n 5 r Sl 2 (360) 565 0100 0) 565 0100 Q V m ,.r Structure Information 000 000 1 779 SF SFR 600 SF ATT /GAR 112 PORCH vV 92,182_ Other struct info TOTAL LOT COVERAGE 20 00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Unit Charge Per BASE FEE 5 6000 THOU BL -100 001 500K (5 60 PER K) 116053 115 10 Plan Check Fee 11/28/07 Valuation 5/26/08 Qty Unit Charge Per BASE FEE 1 00 14 8000 ECH ME INSTALL 100 FAU 4 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME OTHER APPL N/R 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 Plan Check Fee Date 11/28/07 y -Iy -oa The. new Coyrkro,c i S V B 1 00 12700 00 2491 00 2491 00 1 00 BUILDING PERMIT RESIDENTIAL 1 779 SF SFR 600 ATT /GAR 114835 1300 25 Plan Check Fee 520 10 11/28/07 Valuation 149545 5/26/08 Extension 1020 25 280 00 0 0 0 Extension 50 00 14 80 29 00 10 65 10 65 Print Name gnature of Coritractdl►or Authorize ?Agent 0 0 Valuation 0 Qty Unit Charge Per Extension GYNej too tooK Coo s# -wch0h 0360) 460 -162. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance e provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING I MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED COMMENTS YES NO FINAL FINAL PLANNING DEPT SEPARATE PERMIT ti's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO I I I I I I I I I 0 Application Number Application pin number Qty Unit Charge Per 12 00 1 00 1 00 1 00 7 0000 ECH 7 0000 ECH 15 0000 ECH 7 0000 ECH Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) November 6 2007 4 31 38 PM sroberds The proposal will result in a new sfr in the RS 9 for total lot coverage of 20% No land use issues anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged 1578 35 520 10 2234 50 4332 95 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DNISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001294 037348 BASE FEE PL- EA FIXTURE ON ONE TRAP PL- EA INSTALL WATER PIPE PL- EA BLDG SEWER PL- EA WATER HEATER SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited 1578 35 520 10 2234 50 4332 95 00 00 00 00 Page 2 Date 11/28/07 Due Extension 50 00 84 00 7 00 15 00 7 00 1000 00 4 50 1230 00 00 00 00 00 1_e PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORF INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT I BUILDING CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS) I PIERS POST HOLES (POLE BLDGS.) PLUMBING I UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING I JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB I WALL FLOOR CEILING I MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT H's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 4735 417 -4807 417 -4653 I 417 -4750 I T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES 0( 0S -o 1 17 -4-v7 I TLL I o t-23 -o? I c.-c.- 1 -1$- 0? kr L,L- 62--Zo -o8 P� IZ- 18 -ol I L_L- oz- 20 -cis I P B 417 -4815 I 4 Z6 -V"I NO FYVha6Ch I 12 TL-L Dry well 3-19-08 3%(. CM-1l -O '3•(. c_ SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL of Z2 r' lS Z FINAL 5`O 1 DATE J L L ACCEPTED BY. Mechc -ntcat tomb -j 3 )l-O ZN FINAL 1$ Z O DATE T- ACCEPTED BY. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED YES I NO I BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 GT-- CAT G N (flc r ,n P1m Applicant or Agent N ag. s Owner 6/ FA1/tl- l skizA Owner's Address 3 E V -14 c d 3 Contractor /Engineer J_ A) Contractor /Engineer's Address ?r„ S License 'L,EAIA) TT A,?(o 41,4 PROJECT ADDRESS 2_2_ Parcel Number 7 j— p p ..s Heat System Other Floor Areas Basement 1st Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other ilkc,H Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Existing (sa ft.) Proposed (sa. ft.) 17 7 9 ft V0 YEs Ph Ph Expires g'// /O R Lot Zoning Project Type Brief Description. d6esidential Commercial Cher�k all that apply ew Construction Addition Remodel Repair Re -roof Demolition Sign wall- mounted projecting freestanding awning o other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove gas fireplace pellet stove other Occupancy group Occupant load Construction type I have read and completed this application and know it to be true and correct. understand that it is my responsibility to determine what permits are require projects Date I//`/0 Print Name AtiD2.W 441 gRLC Signatur T Forms /Building Division /Bldg Permit Appl —2006 Code doc per sq ft. Jf 3S 30- 7_f. 3 S? 16Z I O S' VA TOTAL VALUATION Total footprint of structures 2, V sq ft. T Lot size I Z, 7c') D For City Use Only Date Received i Permit ate Approved ne ..?Cof) 6) S -oloo Phone ?(oh -s -1 oe)D Multi- family Industrial ____15 3 'rz, 9‘, i SYS", 07 sq ft. Lot coverage 20 of bedrooms of full baths of half baths J Z Pl authorized to apply for this permit and to A perm Ai working on F `0I 1 I ii i 1 I i 1 I I I i GI N 8758'71 W ]5.0 66 55' s B2.3 6' 7501' o y N 1n 75.00' 75.00' 75.00' 754.14 8 ry ;n 7 5. D0' 75.00' tIS I 8 l 8 2' 8• w H 80.14' a I B 8� 70784 so. F I� 9oz F. I mI 12 h. 11 I 10 I3 I I p P N 9084 S0. F1. Pa R. 71640 8 50 F7. I w I 8 I3 I I3 8 I V Iw I 5 4• I l0 ;0 I L Ip e 7736 50. Ff. I 77733 50. FT. q 71927 50. FT. 72700 50. FT. I l� J 15 J u y rv" 2'h I I" I aol I S F F ry 8. 0 L� �e L r I V 8 J9.77'� J I I IZ I 15 J, L e' L _J L I 1:11 2 nI 9606 50. F7. c� 7 509' 7507 62.38' 12 J J J 25' C 75.00' 69.39' C6 C5 62 8 JUNIPER C7 N 8 576'77 W 37' (4 1 70:94 5 875530' 5 1 2262' B N 85 76'11" W L I LINE I LI I L2 I L3 I L4 S L6 I L7 Scale: 1 50 50' 100 BEARING LENGTH 5 83'4942' F 13.92' 5 8759'49' E 5.09' 274076" E 25.59' 5 51101'29" E 35 74' N 857611" W 30 S 515729' 5 32.24' N 04'33'49" F 16.50' 150' CURVE Cl 02 C3 C4 CS CO C7 C8 C9 CIO 011 012 013 014 RADIUS 200.00' 200 00' 200.00' 170.00' 230.00' 230.00' 170 00' 20.00' 46.50' 46 50' 46 50' 46.50' 170.00 230.00 26 9 99' LENGTH 14.30' 14.55' 8 94' 12.16' 11.12' 5 61' 7.60" 20.86' 57.36' 33 39' 20.42' 83.41' 12.37' 16.45' 275.13' DELTA 455"48" 470'07" 2'33'38" 4'05'48" 2'46'13" 1'23'54' 2'33'38" 59'45'03' 70'40'50" 41'0823' 255922" 102'46'28" 410'07 455'48" JUNIPER LANE BEING A SUBDIVISION WITHIN THE W 1/2 OF THE SW 1/4 SECTION 15, T 30 N. R. 6 W. W.M. CITY OF PORT ANGELES, CLALLAM COUNTY, WASHINGTON PREPARED FOR DANIEL KELIE MORRISON I C3 5 87'39'49' E 149.47' C2 s �.09,4LANE h 2 E 126.43' •7 4 46.07' CI 5 8 E 121.60' a 129.18' 25.47' 013 h o ]737. w N 75.10' P., 8• hH LI C14 44.69' 1 I 75.89' I 81 41 N 8I -1 B WETLAND MITIGATION I W I AREA 4 l w m 3 20750 S0. FT Il n1 1/]]8 F7. InI mI 1529 F/ 0 h 11 6 11711 SO. FT. I I I I I I o a I 70757 50. F7. I o° I I ry ZO N N 135.05' N 8759'49' W 75 00' 75.00' 75.00' 70.67' 430.72' Z ENOVIC 351 E. SIXTH ST., STE. PORT NGELES, WA 98362 ASSOCIATES HONE: (360) 417 -0501 NCORPORATED FA (360) 417 -051 SHEET 2 OF 3 DATE. 5/07/07 JOB# 07206 VA_ ---CutaKet 1.444\ 01. SO \A p 4 A Ive cAlv dotoe, ,i i 1 i 1,0 L 1 Site Information Building Department Use Only- PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Lot: Address. 2. 2.I =PG LAME City Pon -r AAl GE_ LF State WA Zip 9Ri(.0 Z. Contact. A 4, TE,LR r Phone 3 (Q d b l O Phone 2 x(0t O'r! 10 7 9 FAX D S S J Permit 129I Notes Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Wall Wall: Glazing Glazing Door Vaulted wall, Exterior Slab on Option ArFloorof Vertical Overhead Factor: Ceiling Ceiling Grade Below 'Below Floor Concrete Grade Grade Unlimited Ill Group R 3 0 40 0 58 0.20 R 30 R 21 R 10 R 10 Occupancy Only This Project complies with the following. The project is a single family residence or dupl The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed in Table 6 -1 Option III The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception Type of Heat Source �o>? G>✓J 2 �l__ I' oe,4N E E_ /LE AC-E. PO �FJ iiasMunar y Please complete and return to Public Works Engineering Department Applicant�Inform Permanent service. Name and address of party responsible for permanent .service billing? ontaot: nfoirmatio if other than t above) '.uR?l{.nN ..�!w 7.41,?eSTUM P�+xl2 +sk�,r 4,tr �FS y id F {kph. 1✓ t J Site contact: Contractor Electrician. Excavator Name: LF .w1,- ��2iZA L. /V Street: /3 S? ST. 2 Z3 City State ZIP' P012 A,vr e ..a jnl A qj 369 Z, Daytime Phone. 3 -S( D too a- leme-Pi,.,..e. Daytime Phone. 2J-3 y IName: /-F 7 tk 1Daytime Phone: 260 i (0 0 Name: (-7 4 P2t &S Daytime Phone: 0 gkSingle- family residence Commercial Overhead service Underground service Name: S 4-}- A-1A) Al 0.'11111.tl Title St n7EJUT 'Daytime Phone 3 6, 0 RUB'- 10? e Name. AAi Company' (2, Multi- family residence, of units ID Subdivision, of lots El General service Other nfc3rmaf Street address lot number 2. I x A.rf re Nearest cross street: I (a N M Li— L. 0 ,4 13 Desired connection date c- t E 2 0 Total square footage. Voltage Check all that apply 2,fl q 1 sq ft. 120/240 1 ph 0120/240 3ph 'Standard residential to s (Lighting A/ FLA) residential Clothes Dryer H e ating I1 Vater Heater Elevator Please provide a copy of the following' *Detailed plot plan (.dwg or dxf format mandatory for subdivisions) *Electrical one -line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps 4f all ltnotor: over 50 Electrical Service Information Form Main disconnect s ❑120/208 3ph 111480 3W 3ph Public Works Engineering Department (360) 417 -4700 ln"7 Company' C-1_Ec,-rn..rt.. U2<.E .lac, Company' wa rrs r ize. 200 amps ❑277/480 3ph ❑Other Date refrigerator dishwasher washer) Hot Tub Pumps Hp) Hp) Other Applicant's Signatu MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360- 417 -4709 EMAIL. gmclain @cityofpa.us (west half of city) Information form rlarson @cityofpa us (east half of city) WS SI 1 I i. 113 Ti U) Iii 11 -4 I.• I Cr t 111 1- 11'1 ISI f I 1 I it I C. II r... II! Ill '-I iv III II Ii C. I I .1. I -:i C I= .4 .1 1:11 -I 1_, 'Ti 1 1 Cr: Ti 111 CE. T. 1 11 -I IV C .1 11 I I .1. 1 1 C CI III It 1 Iti I I -I I-1 1 .4 1 It -1 -I 0 IT I I r a 4 'Ti -r- .11 rir ,1 I 1 rt in 1 4 r.i I 4. pr ID .1 rip Ii) Ili III Lii 1 1:1 Ti I I II Ii IT J iii :1 III Ill III 171 f 1 13.1 i 11) ID t- ic) r F T IJI al 1-1 jJ ili 4. II! I 1 p s- C Ifl 111 111 4- 4- 1.11 III III UT 11.1 Iii In '4-. -4 111 in r. •r 1I) 1.11 .1 Ili 1. -1 I-u in 0 up Iii rrt s_ 5 E Iii r .4 II II '1 li) L. 1_1 F Ill I II t.-1 7j. 1-1 ID I 4 al IST. F I .4 1.1! 1-1 .1:1 al IJI 4- C 1.11 11 rr; -4 .4 v. C rij F Tr al F I ID 'Ti :F 121 et IF IF %NW 11 1 0 J Is III r 1 .4 I .1 irt II 1_. II 0 .4 IT Ti III C C Ill II -I r .4 -iti 1_1 In 'Ti 4- at n In 2 11 II I 1 -1 III 1 IIi T 4 r :1 11 1 f 41I 4 fl. ir I. 0 4- -I 3 trt r": r 4 01 Tit tri •F.:1 0 1.!,1 Li ft It; ,Ti U 44 l CI 1 rri Iii .:3. 1- 1j1 0 r.:: 41) 1:ft 11 -4 ii 111-.11 1 f 1 r I 4. en e. .1. ill '--1 .1 s.. 1. I I l_t 4 0 4- 'I- 'I- P iii 4 4. 0 .:1 :4 n• 1 1 t: C Ill 141 r3 al 1 40 1.0 t I' IT I !if C Ii; 4- Ii' ii 1.--: Ill I t r.- 4111i E I!1 4.4 III .1- •I• 1" 1 .0 4• ID 111 ry 111 III 11.1 1: w 1 'r- 9- m 1 4. -4 1'0 3 1_ ..-4 to (14 tri rt. C. (.4 4: in ill 4 -I- I E I! ti. n Iii IT; F -4 1: C In in Cli 1 41) IA to fil 0 s.. E -1 --1 r3:: I: kJ i 4 lie' w :3 l'i 10 I I 1_1 _1 CO r It III I, I. E 7 .1 1* .4. c. _3 44 in n 0 ..4 4- 4-1 .7 VI C F 11 Ii! •-4 ..0 ..-4 01 F r F -1 1 I rl I. F 1 .1/ 4- 4 n: a' .0 1- II I! 1-1 -1 I F. 4_ LI 4 I 5- C: at eu 4 F 111 al .4 I 111 E 'I- -I- _c ri 11.14 1-1 III <t TF Ui Ill 1 41 Job wired by a Owner ELECTRICAL WORK PERMIT APPLICATION Installation description . ~ a Comm.:rcial ~ideDtial Electrical contractor name <7~~<" liccn~ nUlI\Rcr Date Expires tz. Uz-CT""S l?i2.0 a New a Allered! Addition Owner as defined by RCW./9.28.161:(J) Owner will occupy Ihe slructure for two )'~ars after this f.!/ectdca/ permit ;s finalized. (1) UW'ler is requIred to hirc an dcctrica/ contractor if above ,mid propprty i.~ in,. sa/e. relit or lea~e. After reading the above statement, I hereby certify Lhal I am the owner of the above nanled property or a licensed elcclrical contractor. I ant making Ihe electrical inslal- l:'Ilion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B. The City of Port Angeles Municipal Code, and Utility Specificlltiulls. ~Gn.'u,,~ .tee FAX nllmber PremheYO"'lner's ~ 0Uk I ~f"'''''''''' Address of Inspection . ').1 J. ., ~ l..o... "'. r--- City? A Phone number 10 schedule Inspection: "6$ b 2-. 22\ Electrical Load Additions and or subtractions a NO LOAD CHANGES a Baseboard _ KW a Furnace KW o Heal Pump _ Ton _ LAR a Fa..Wall KW Date: td:J~., <T'~. a Cash a Check # ~ar~r:di(Card ~~ _~:.co:~_ Expiration Date of card Service Information a Overh~ ~ervic9 Cl Underground Service Voltege Ph.sea 1 a 3 Service Size: _ Feeder Size: SAME DAY JNSPECTlON CALL BEFORE 7'00 AM 360-417-4735 . ROUGH-IN TIlERMOSTAT " SERVICE }1.111/0'l ~ Dale: Approved By Dille Apploved By Dllc: Approved By FINAL DITCH FEEDER ~07 ~ DDle Approved By../ "- lJDte APfln:lved By Dille Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Dale Inspector plll/C7 -<J 1iF--J.'l17 'lJJ~ ~ . .. - -... [d d nLl>.LTl>.Ol ~! l>2l>92S17 3JI~~3S JI~lJ3l3:WO~j d[1:21 17002-S2-N~f ELECTRICAL INSPECTION WIRING REPORT 417-4735 I OWNER/CONTRACTOR >"2: LECTUc... ADDRESS rz:.. Tl- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . .~ D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: nNE..L Ct'l/JE'I? """'fA? 6LJI: ~ ~(T:i21EtO $Tel~ VL.{ 7() NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381